Beruflich Dokumente
Kultur Dokumente
SWORN STATEMENT OF THE TRUE VALUE OF REAL PROPERTIES PURSUANT TO R.A. 7160
(TAXABLE OR EXEMPT)
1. , of legal age and with postal address at after having been duly
sworn to citizenship in accordance with law, depose and say:
That I am the of the following real properties, which are (declared or undeclared, newly acquired/
construction/installed/undergone/renovation/alteration/structural change or additional improvement) located in City/ Municipality of
Existing
Lot Blk. Cad/PLS Area
TD No./ ACTUAL USE LOCATION OF PROPERTY True Market Value
No. No. No. Ha./Sq.M.
ARP No./PIN
Existing Annual
NO. OF TREE Produ- STANDING AT TRUE MARKET VALUE
TD NO./ LOCATION OF PROPERT
KIND ction
ARP Fruit Non-Fruit Lot (No./St./Brgy./Dist.) Non-Fruit
No./PIN Bearing
Lot Owner Fruit Bearing
Bearing No. Bearing
2. That I am executing this own declaration pursuant to Section 202 and/or Section 203 of the local Government Code of 1991.
(Signature of Affiant)
T.A.N. :
(Witness) (Witness)
SUBSCRIBED AND SWORN to before me this of , 20 , affiant exhibiting his/her community Tax Certificate No.
Issued on at